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Transaction
2
Personal information
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Payment
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Illuminate health
Transaction
How many lights for $5 do you want to make shine ?
$5.00
/ unit
x
$
=
Subtotal:
Total:
$
I turn on one or more rows of Christmas lights
$50.00
/ unit
x
$
=
Subtotal:
Total:
$
I become a luminous Partner (with visibility)
---
$250.00
$500.00
$750.00
$1,000.00
$1,500.00
Other
Subtotal:
Total:
$
Total:
$
Next
Organization's registration number:
14083 0415 RR 0001
Time remaining in your session:
15
Time remaining in your session:
15